<!DOCTYPE html >
<html>

	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
		<meta name="format-detection" content="telephone=no">
		<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
		<title>浙商保险 - 填写投保信息 - 营运交通</title>
		<link type="text/css" rel="stylesheet" href="css/style.css" />
		<link type="text/css" rel="stylesheet" href="css/caninfor.css" />
		<link rel="stylesheet" type="text/css" href="css/common.css">
		<script src="js/style.js"></script>
		<script type="text/javascript" src="js/jquery-1.9.1.js"></script>
		<script type="text/javascript" src="js/date.js"></script>
		<script type="text/javascript" src="js/iscroll.js"></script>
		<script type="text/javascript">
			$(function() {
				$('#beginTime').date();
				$('#endTime').date({
					theme: "datetime"
				});
			});
		</script>
	</head>

	<body>
		<div class="menages"><i></i>投保人信息</div>
		<div class="basic manager-div margin-b5">
			<div class="title_text">
				姓名
				<input type="text" value="请填写投保人姓名" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
			<div class="title_text">
				身份证号
				<input type="text" maxlength="18" value="请填写身份证号" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
			<div class="title_text">
				电子邮箱
				<input type="text" value="请填写电子邮箱" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
			<div class="title_text">
				手机号码
				<input type="tel" maxlength="11" value="请填写手机号码" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
		</div>
		<div class="menages"><i></i>被保险人信息</div>
		<div class="basic manager-div margin-b5">
			<div class="title_text">
				与投保人关系
				<select name="rdate" class="select">
					<option selected="selected">本人</option>
					<option>其他</option>
				</select>
			</div>
			<div class="title_text">
				姓名
				<input type="text" value="请填写姓名" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
			<div class="title_text">
				身份证号
				<input type="text" maxlength="18" value="请填写身份证号" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
			<div class="title_text">
				手机号码
				<input type="tel" maxlength="11" value="请填写手机号" onFocus="if(value==defaultValue){value='';}" onBlur="if(!value){value=defaultValue;}">
			</div>
		</div>
		<div class="menages"><i></i>保险起期</div>
		<div class="basic manager-div margin-b5">
			<div class="title_text">
				保险起期

				<div class="demo">
					<div class="lie"><input id="beginTime" class="kbtn select-srea" placeholder="请选择保险开始时间" /></div>
				</div>
				<div id="datePlugin"></div>
			</div>
		</div>
		<div class="height44"></div>
		<div class="bottom-can"><input type="submit" class="cancer-submit" value="下一步" /></div>
	</body>

</html>